Medical coder jobs in Sioux Falls, SD

McFarland Clinic is currently accepting applications for a Coder-Non-Certified for its Ames office. Candidates should be service-oriented, a team player, and be able to provide extraordinary care, every day to our patients. Responsibilities include: Responsible for reviewing and editing charges entered into the practice management system to ensure accuracy prior to claims processed for billing, insurance filing and revenue reporting. Reviews documentation of services performed and selects appropriate CPT and ICD-10 diagnosis codes. Additional responsibilities include manual keying, scanning charge documentation, assisting with development of data entry and editing procedures, waiver validation, training and other duties as assigned in accordance with McFarland Clinic's Core Values and Promise Education High School Diploma, GED or HiSET Associate degree in business or related field preferred. Days: Monday - Friday Available: 8:00 AM - 4:00 PM Experience Minimum of one to two years of medical billing experience. Pre-employment drug screen and criminal history background checks are a condition of hire. Benefits McFarland Clinic offers a comprehensive benefits package, including health and dental insurance, 401(k), and PTO. Click here for details. McFarland Clinic is central Iowa's largest physician-owned multi-specialty clinic. Join our team and join a group of caring professionals, dedicated to providing Extraordinary Care, Every Day! We value quality care and extraordinary service, trusting relationships and an exceptional workplace. Our organization has more than 75 years experience of caring for people. We welcome applicants who can help us enhance the health and well-being of our patients and communities we serve. McFarland Clinic is an Equal Opportunity Employer McFarland Clinic makes every effort to comply with all requirements of federal, state and local laws relating to Equal Employment Opportunity.

OrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes. With a focus on safety and people, we set the bar high in providing high-quality care with an unmatched experience. Our team members are critical to our success and growth and are rewarded for their dedication and hard work. IF this sounds like the type of team and environment you want to be a part of apply today! Position Summary: The Hospital Medical Coder, meticulously analyses patient chart documentation and translates the extracted information into standardized medical codes for the facility component. This role needs to be detailed oriented and knowledgeable of coding guidelines. Position details Status Full-Time Shift Days FTE / Hours 1.0 / 40 Schedule Mon - Fri: 8:00am - 5:00pm Position Requirements Education: High School Diploma or GED required. Licensure: N/A Certification: Current/active Coding certification through AHIMA or AAPC required. Experience: 2+ years' experience actively coding preferred. Experience in an Orthopedic environment preferred. Required Knowledge/Skills/Abilities Proficiency in facility, ICD 10 PCS and Surgery required. Knowledge in working with Cerner is preferred. Effective verbal and written communication skills for interacting with healthcare professionals and team members. Efficiently manage workload to meet coding deadlines and organizational productivity standards. Maintain strict confidentiality of patient information in compliance with legal and ethical standards. Essential Job Functions Analyze medical record documentation and accurately code and sequence diagnoses and procedures. Communicate with physicians when additional documentation is required in order to accurately assign diagnosis or procedure codes. e.g. insufficient, and/or conflicting documentation. Input codes and required medical record data items. Collaborate with peers and supervisors to develop and implement policies and action plans for improving coding and documentation compliance. Maintain high level of customer service with all internal and external contacts. Participates in routine coder staff meetings to share information, discuss coding practices, guidelines and policies. Complete coding and health information management compliance audits and other projects as assigned by the Coding and Compliance Coordinator/Health Information Manager Customer service and public relations. Is expected to comply with safety policies and procedures, regulatory requirements such as OSHA and JCAHO and to participate in corporate-wide and department safety activities Employee is responsible for all other duties as assigned for which competency has been demonstrated Physical requirements: This position is classified as Sedentary Work in the Dictionary of Occupational Titles, requiring the exertion of up to 10 pounds of force occasionally) up to (33% of the time) and/or a negligible amount of force frequently (33%-66% of the time) to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. ______ Must be able to pass background check. We also conduct pre-employment physical and drug testing. Any job offer will be contingent upon successful completion of a pre-employment physical with a drug screen, background check and obtaining active licensures per job requirements.

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. To ensure accurate and appropriate gathering of information into the coding classification systems to meet departmental, hospital and outside agency requirements. This includes ensuring appropriate reimbursement, compliance and charging with the various coding guidelines and regulatory agencies. Responsible for obtaining accurate and complete documentation in the medical record for accurate coding assignment. Responsible for the coding of moderately complex patient classes i.e. ED, observations, same day care, etc. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High School Diploma or Equivalent. 2. Certification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), COC-A (Certified Outpatient Coder-Apprentice), COC (Certified Outpatient Coder), Formerly CPC-H (Certified Professional Coder-Hospital), CPC (Certified Professional Coder) or CIC (Certified Inpatient Coder). EXPERIENCE: 1. One (1) year of hospital coding experience. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. Codes moderately complex patient classes. 2. Assigns hospital codes to a variety of patient classes (i.e. ED, OBS, SDC, etc.). 3. Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas. 4. Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals. 5. Assures the accuracy, quality, and timely review of data needed to obtain a clean bill. 6. Contacts physicians or any persons necessary to obtain information required for to accurately code assignments. Works and communicates with other offices in any manner necessary to facilitate the billing process. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Must be able to sit for long periods of time. 2. Must have visual and hearing acuity within the normal range. 3. Must have manual dexterity needed to operate computer and office equipment. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment. 2. Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material. 3. May require travel. SKILLS AND ABILITIES: 1. Must be able to concentrate and maintain accuracy during constant interruptions. 2. Must possess independent decision-making ability. 3. Must possess the ability to prioritize job duties. 4. Must be able to handle high stress situations. 5. Must be able to adapt to changes in the workplace. 6. Must be able to organize and complete assigned tasks. 7. Must possess excellent written and verbal communication skills. 8. Must possess the knowledge of anatomy, physiology and medical terminology. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: SYSTEM West Virginia University Health System Cost Center: 538 SYSTEM HIM CDI

We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: * Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. * Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate * Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. * Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. * Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. * Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. * Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested * Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: * Associate's degree or higher in Engineering, Science or related degree required * Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. * The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. * Knowledge of business processes and application of quality management standards. * Good verbal and written communication skills and an eye for detail. * Be self-motivated, flexible, and have excellent time management/planning skills. * Can work under pressure. * Willing to travel on business intensively. * An enthusiastic and committed team player. * Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.

We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: Associate's degree or higher in Engineering, Science or related degree required Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. Knowledge of business processes and application of quality management standards. Good verbal and written communication skills and an eye for detail. Be self-motivated, flexible, and have excellent time management/planning skills. Can work under pressure. Willing to travel on business intensively. An enthusiastic and committed team player. Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.

Over the years, Ophthalmology LTD's name provides the highest quality of comprehensive medical and surgical eye care. Highly trained ophthalmologists, as well as experienced optometrists, combine their considerable expertise to give each and every patient the best possible care. Ophthalmology LTD delivers treatment for cataracts, glaucoma, and diabetic eye disease, as well as cornea transplants, oculoplastic surgery, retina surgery, vitreoretinal surgery, and pediatric eye care in Sioux Falls. We are looking for a passionate Medical Coder. This person is responsible for coding clinical and outpatient medical records using the most accurate and appropriate ICD-10-CM and CPT codes in accordance with regulatory coding guidelines and Ophthalmology LTD policy and procedures. If you are passionate about the work you do and the effect your work has on a patient's experience, this might be a great fit for you! This position is full-time and will work on-site to provide you real-time opportunity to collaborate with the Ophthalmology LTD family. A summary of the job duties include: Demonstrate extensive knowledge of official coding guidelines established by the AMA and CMS with regard to the assignment of ICD-10 and CPT. Evaluates medical record documentation to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits. Respond to coding questions/issues and reimbursement questions from clinical staff and other departments as necessary. Performs scheduled audits of physician coding and documentation to make recommendations for improvements and enhancements. Obtains authorizations prior to procedures or surgical services being performed. Assist department leadership with research, analysis, and all other special projects. Answer phone calls and direct calls to the appropriate areas. Financial counseling of patients prior to medical services being performed and work with the Billing/Insurance Manager and/or CEO on exceptions to standard procedures. Education and Training requirements: High School Diploma, or equivalent. Prefer post-secondary education courses in Health Information Management, accounting and/or business. Educational coursework in CPT and ICD coding in medical practice and a thorough understanding of medical terminology and anatomy. Minimum of 2 years of medical coding experience in a physician office setting or equivalent with knowledge of various medical payer practices and insurance laws/guidelines (Medicare, Medicaid, Work Comp, VA, and other third-party payers). Ophthalmology coding and billing experience preferred. Certification is encouraged (CPC-Certified Professional Coder, OCS-Ophthalmic Coding Specialist) Please note this job description is not a complete listing of activities, duties, or responsibilities that are required for this job. Duties, responsibilities, and activities may change at any time. Ophthalmology LTD office hours are Monday - Friday, 8 am - 5 pm. We offer competitive compensation and a comprehensive benefits package including health, dental, 401K, life insurance, AD&D, short and long-term disability, PTO, sick leave, paid holidays, and eye care benefits.

The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the hospital/physician. Reviews and analyzes medical records and coding guidelines to formulate coding arguments for appeals and/or coding guidance for potential re-bills. Maintains a working knowledge and stays abreast of ICD-10-CM and ICD-10-PCS, coding principles, medical terminology, governmental regulations, protocols and third-party payer requirements pertaining to billing, coding, and documentation. The Inpatient Coding Denials Specialist will also handle audit-related and compliance responsibilities. Additionally, this position will actively manage, maintain and communicate denial / appeal activity to appropriate stakeholders and report suspected or emerging trends related to payer denials. This position requires anticipating and responding to a wide variety of issues/concerns and works independently to plan, schedule and organize activities that directly impact hospital and reimbursement. This position will support change management by tracking and communicating trends and root cause to support future prevention with internal customers and stakeholders as well as with payers and third parties. This role is key to securing reimbursement and minimizing avoidable write off's. Responsibilities * Performs critical research and timely and accurate actions including preparing and submitting appropriate appeals or re-billing of claims to resolve coding denials to ensure collection of expected payment and mitigation of denials; * Maintains extensive caseload of coding denials. * Formulates strategy for prioritizing cases and maintains aging within appropriate ranges with minimal direction or intervention from Leadership. * Acts as a liaison among all department managers, staff, physicians and administration with respect to coding denials issues. * Assists with the development of denial reports and other statistical reports. * Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review and addresses the coding components of said claims. * Reviews insurance coding-related denials, including but not limited to: DRG downgrade, DRG Validation, Clinical Validation, diagnosis codes not supported, and/or general coding error denials. * Responsible for reviewing assigned diagnostic and procedural codes against patient charts using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. * Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. * Contacts insurance carriers as appropriate to resolve claim issues * Maintains payer portal access and utilizes said portal to assist in reviewing commercial medical policies * Maintains working knowledge of regulatory and third-party policies and requirements to ensure compliance; remains current with applicable insurance carriers' timely filing deadlines, claims submission processes, and appeal processes and escalates timely filing requests to leadership. * Assists with short-notice timely filing deadlines for accounts with coding issues. * Provides feedback to the coding leadership team regarding coding denials. * Compiles training material and educational sessions associated with coding denial-related topics and presents such educational materials. Collaboratively works with the coding education team & coding compliance team to assist in providing education to coders, physicians and mid-level providers. * Monitors for coding trends, works collaboratively with the revenue cycle teams to prevent avoidable denials and reduce revenue loss. * Identifies, quantifies and communicates risk concerns to leadership and supports mitigation efforts as appropriate. Demonstrates the ability to analyze coded data to identify areas of risk and provide suggestions for documentation improvement. * Organization Expectations, as applicable: * Fulfills all organizational requirements. * Completes all required learning relevant to the role. * Complies with and maintains knowledge of all relevant laws, regulations, policies, procedures and standards. * Fosters a culture of improvement, efficiency and innovative thinking. * Recommends process efficiencies, strategies for improvement and/or solutions to align with business strategies. * Participate in process improvement meetings and/or discussions, recommending process efficiencies and/or strategies for denial prevention and revenue improvement. * Performs all assigned functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Adheres to HIPAA compliance rules and regulations. * Requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision. * Educates and mentors new employees through the on-boarding process. * Adheres to productivity and quality standards. * Performs other duties as assigned. Required Qualifications * 5 years hospital inpatient coding-related experience such as coding, auditing, abstracting, DRG assignment, Data Quality in coding denials * Registered Health Info Admin or Registered Health Info Tech or Certified Inpatient Coder (CIC)or Certified Coding Specialist Preferred Qualifications * B.S./B.A. in HIM * 1 year experience in managing and appealing denials * 1 year expertise in reading and interpreting commercial payer medical policies * 7+ years of hospital inpatient coding related experience such as coding, auditing, abstracting, DRG assignment, Data Quality in coding function type as required by position * Epic experience in Resolute Hospital Billing Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** Compensation Disclaimer The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status

Possesses the knowledge and skills to thoroughly review the clinical content of all levels of complexity of Inpatient medical records and assigns appropriate ICD-10-Codes to diagnoses procedures for optimal reimbursement, as well as the knowledge to ensure the coding accurately reflect the severity of illness and risk of mortality for quality reporting. Has knowledge of all other types of coding, including, but not limited to, Outpatient, Outpatient Surgery, and Observation, however the focus of work is complex Inpatient coding. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Reviews hospital inpatient medical record documentation and properly identifies and assigns: ICD-10-CM and/or ICD-10-PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures; MS-DRG, APR-DRG; present on admission (POA) indicators; and hospital acquired conditions. 3. Reviews discharge disposition code for accuracy. 4. *Utilizes technical coding principles and MS-DRG reimbursement expertise to assign ICD-10-CM diagnosis and procedure codes as well as abstracting the assignments according to facility guidelines. 5. *Works as a team member to meets or exceed the established quality standard of 95% accuracy while meeting or exceeding productivity standards set forth by the department leadership. 6. *Maintains a thorough and updated knowledge of Official Coding Guidelines, Medicare Administrator Contractor (MAC) directives, Coding Compliance standards and Local and National Medical Review Policies. 7. Assists in identifying solutions to reduce and resolve back-end coding edits. 8. Queries physicians appropriately as needed when the documentation is not clear and follows up on queries. 9. *Provides education to facility healthcare professionals and medical staff in the use of coding guidelines and practices, proper documentation techniques, and query monitoring to assist with documentation improvement activities. 10. Assists with coding quality review activities for accuracy and compliance. 11. *Mentors and trains new coding staff members. 12. *Works as a team member to ensure all coding is accurate and meets turnaround standards. 13. Adheres to relevant policies, procedures, regulations and expectations of Bryan Medical Center. 14. *Abides by the Code of Ethics and the Standards for Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all Official Coding Guidelines. 15. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 16. Participates in meetings, committees and department projects as assigned. 17. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk "*"). REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Knowledge of anatomy, physiology, pharmaceuticals, medical terminology, disease process and ICD-10-CM and ICD-10-PCS Coding. 2. Knowledge of computer hardware equipment and software applications relevant to work functions. 3. Ability to communicate effectively both verbally and in writing. 4. Ability to meet high standards for work accuracy and productivity. 5. Ability to mentor and train other personnel in coding practices and proper documentation techniques. 6. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 7. Ability to problem solve and engage independent critical thinking skills. 8. Ability to maintain confidentiality relevant to sensitive information. 9. Ability to prioritize work demands and work with minimal supervision. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Associate Degree or higher required. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) required. Minimum of two (2) years of inpatient coding experience in a medical environment required. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) - Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.

Medical Coding Specialist Full Time-40 hours per week We're seeking a detail-oriented Medical Coding Specialist to accurately assign CPT and ICD-10 codes based on provider documentation. This role supports coding across various settings including office visits, nursing homes, inpatient, ER, and outpatient hospital services. What You'll Do: * Review & code medical records using ICD-10 and CPT guidelines * Ensure complete & accurate documentation in the EHR system * Maintain up-to-date knowledge of coding changes and standards * Assist staff with code interpretation and documentation questions * Uphold HIPAA compliance and confidentiality standards * Participate in training, meetings, and process improvement initiatives * Support organizational values and maintain a professional demeanor What We're Looking For: * Graduate of an AHIMA-accredited program and is willing to become certified OR has completed or is willing to complete an AAPC program to become certified * Medical background with 2-4 years experience with ICD-10 and CPT coding preferred * Strong computer and multitasking skills * Excellent communication and organizational abilities * Ability to work in a dynamic environment with frequent interruptions * Commitment to a high degree of confidentiality and customer service * Employment contingent on successful background and pre-employment screenings.

This is where your work makes a difference. At Baxter, we believe every person-regardless of who they are or where they are from-deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results. Here, you will find more than just a job-you will find purpose and pride. Your Role: The Medical Coding and Billing Specialist will review medical records to ensure claims are properly documented and coded as well as coordinate and execute processes of medical billing for our Respiratory Health products. The position is responsible for ensuring business practices follow government regulations and abide by carrier specific acceptable HCPCS and ICD-10 coding standards. This consists of all billing activities including initial, re-authorization, and purchases across all lines of business (Commercial, Medicare, Medicaid, and Managed Care Organizations). This is a full-time hybrid position where the candidate would report to the St. Paul office three days a week, Monday through Friday. The hours of operation are 8:30am - 5pm. What You'll Be Doing: Complete review of medical records to ensure the ICD-10 diagnosis used for billing is properly documented. Complete quality review of patient records to ensure they are comprehensive, in compliance with each payer's rules and regulations, and billed accurately Adhere to month-end accounting deadlines for revenue and claim processing including selecting orders, generating claim files, submitting EDI files to clearinghouse, printing claims, attaching claim documentation, and mailing. Reference coding guidelines and reimbursement policies/procedures to keep current with changes in regulations, insurance specific policies, as well as company policies and procedures. Collaborate with and provide feedback to Revenue Cycle Management and Managed Care colleagues to ensure accurate claims processing and documentation within company systems. Perform other project and duties as assigned. What You'll Bring: High school diploma or equivalent required Medical Coding Certification required; ICD-10 coding experience preferred 3+ years of experience in healthcare environment required; associates degree or higher may substitute for 2 years of experience Experience working with high-dollar DME preferred Billing database software experience required Clearinghouse and payer portal experience preferred Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a minimum of 3 days a week onsite. This policy provides the benefits of connecting and collaborating in-person in support of our Mission. We understand compensation is an important factor as you consider the next step in your career. At Baxter, we are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. The estimated base salary for this position is $49,600 to $68,200 annually. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than of the anticipated range based upon market data and other factors, all of which are subject to change. Individual pay is based on upon location, skills and expertise, experience, and other relevant factors. For questions about this, our pay philosophy, and available benefits, please speak to the recruiter if you decide to apply and are selected for an interview. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time. US Benefits at Baxter (except for Puerto Rico) This is where your well-being matters. Baxter offers comprehensive compensation and benefits packages for eligible roles. Our health and well-being benefits include medical and dental coverage that start on day one, as well as insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance. Financial and retirement benefits include the Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount, and the 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching. We also offer Flexible Spending Accounts, educational assistance programs, and time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave. Additional benefits include commuting benefits, the Employee Discount Program, the Employee Assistance Program (EAP), and childcare benefits. Join us and enjoy the competitive compensation and benefits we offer to our employees. For additional information regarding Baxter US Benefits, please speak with your recruiter or visit our Benefits site: Benefits | Baxter Equal Employment Opportunity Baxter is an equal opportunity employer. Baxter evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, protected veteran status, disability/handicap status or any other legally protected characteristic. Know Your Rights: Workplace Discrimination is Illegal Reasonable Accommodations Baxter is committed to working with and providing reasonable accommodations to individuals with disabilities globally. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application or interview process, please click on the link here and let us know the nature of your request along with your contact information. Recruitment Fraud Notice Baxter has discovered incidents of employment scams, where fraudulent parties pose as Baxter employees, recruiters, or other agents, and engage with online job seekers in an attempt to steal personal and/or financial information. To learn how you can protect yourself, review our Recruitment Fraud Notice.

CentraCare Health - Monticello is a team of health care providers working together to deliver comprehensive, high-quality care in a compassionate environment, close to home. Our mission is to improve the health of every patient, every day. We are looking for caring, skilled professionals who are passionate about making CentraCare the leader in Minnesota for quality, safety, service and value. We offer an outstanding work environment to our employees, who are dedicated to providing a superior patient experience. Job Description The Coder II reviews electronic and written documentation to allow for accurate and timely diagnostic and procedural coding using ICD-9-CM/CPT4/HCPCS classification systems. Knowledge and use of applicable coding standards, guidelines, and regulations. As necessary, communicate with clinical staff including physicians to clarify medical record documentation, diagnosis, and codes. Safeguards patient privacy and confidentiality. Qualifications · Registered Health Information Technician or Certified Coding Specialist. · Two years hospital coding experience. · Basic computer knowledge · Knowledge of anatomy, medical terminology and disease process. · ICD-9/10 CM, CPT-4 Coding · Ability to read and communicate effectively in English. · Strong written and verbal skills. · Strong interpersonal human relations skills. Additional Information Apply online at *******************

Job Details Syracuse Area Health - Syracuse, NE Full Time DaysDescription Interprets medical records and assigns appropriate ICD and CPT codes in appropriate sequence to ensure the accuracy of billing, internal and external reporting, and regulatory compliance. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. This position is benefited, full-time, Monday-Friday, 40 hours per week. No weekends and paid Holidays! Some remote work may be available within the State of Nebraska. Qualifications High school diploma or equivalent RHIT, RHIA, CCS, CCS-P, CPC preferred Knowledgeable in medical terminology and anatomy required Knowledgeable in coding diagnosis and procedures required Must possess computer and typing skills (word processing, excel, and basic windows based computer skills) Experience with electronic health records preferred

Please note, this is for internal applicants only with HVMHC. The 10 hours of med records would be in additional to your current job responsibilities. The role can be performed from any of our office location. Description TITLE: Medical Records Coordinator PROGRAM: All JOB SUMMARY: This position is primarily responsible for maintaining Hiawatha Valley Mental Health Center's files of clients, responding to requests for information and pulling client charts. JOB RESPONSIBILITIES AND ESSENTIAL FUNCTIONS: Scan and file documents electronically for psychiatry, outpatient, substance use disorder and children's community-based programs Send forms electronically for client completion and track to ensure that they are returned Check phone and email messages; return calls Respond to all requests for information in a timely manner. This includes maintaining a system for what is requested, permission for release given by therapist and or supervisor, and then sending. Give related invoices for future billing to Bookkeeping Maintain Filing system: this includes annually pulling charts that have been inactive for seven years and destroying all client information Keep Substance Use Disorder outpatient treatment sign-up folders up to date, with several completed folders ready for staff to use Fax for agency when needed Review and forward emails from the HVMHC website to correct Dept Educate and assist outer offices with medical records procedures, if necessary Update client name changes in the EHR, along with recording proper documentation Review names for clinician's peer review Back up Receptionist and Intake Coordinator's as requested Release records to insurance companies as requested Possess a vehicle, valid driver license, and valid auto insurance NON-ESSENTIAL FUNCTIONS: Perform other duties as assigned by the Office Manager PHYSICAL REQUIREMENTS FOR POSITION: Must be able to move in a manner conducive to the execution of daily activities. While performing the duties of this job, the employee must communicate with others and exchange information. The employee regularly operates equipment (listed below) on a daily basis. Occasional bending and lifting of office materials may be . EQUIPMENT USED: Computer, telephone, office equipment, multi-line phone system. JOB QUALIFICATIONS AND REQUIREMENTS: Excellent organizational skills. Good interpersonal and communication skills. Ability to operate computer for purposes of client data entry. Must possess a valid driver's license and a willingness to travel as needed to organization locations throughout SE MN. WORK ENVIRONMENT: Hiawatha Valley Mental Health Center is committed to providing a safe and inclusive work environment free from harassment, violence and discrimination. Our inclusive work environment represents many different backgrounds, cultures and viewpoints. The core values we live by include: integrity, respect, people focused, community focused, continuous improvement, compassion, partnership and collaboration, empowerment and financial stewardship. All Hiawatha Valley Mental Health Center owned facilities are smoke/drug free environments, with some exposure to excessive noise, dust and temperature. The employee is occasionally exposed to a variety of conditions at client sites. SUPERVISED BY: Office Manager SUPERVISES: None POSITION DESIGNATION: Non-exempt, Full-Time The job description is subject to change at any time.

Current Employees: If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage. Primary Location Rapid City, SD USA Department RCH Health Information Management Scheduled Weekly Hours 40 Starting Pay Rate Range $24.19 - $30.24 (Determined by the knowledge, skills, and experience of the applicant.) Job Summary Accurately and efficiently codes and abstracts comprehensive acute care inpatient, rehabilitation inpatient, outpatient surgery, swing bed, long term care, ancillary services and short stay observation patient records according to official coding guidelines for accurate coding and benchmarks for productivity. Evaluates and assigns accurate DRG, PAI, and APC assignment. The position responsibilities include 95% comprehensive assignment of inpatient ICD 9 diagnosis, DRG, Ambulatory Patient Classification assignments, comprehensive review of the entire inpatient, observation, or ambulatory record, accurate documentation capture for accurate and compliant code and procedure assignment. Responsibility includes occasional backup for diagnostic outpatients. Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include: *Supportive work culture *Medical, Vision and Dental Coverage *Retirement Plans, Health Savings Account, and Flexible Spending Account *Instant pay is available for qualifying positions *Paid Time Off Accrual Bank *Opportunities for growth and advancement *Tuition assistance/reimbursement *Excellent pay differentials on qualifying positions *Flexible scheduling Job Description Essential Functions: Analyzes, audits, and abstracts clinical record information for all patient encounters according to the established parameters. Ensures the accuracy, completeness, and propriety of medical information both text based and encoded in all patient care settings. Assists with keeping discharged unbilled accounts within limits as specified by CEO. Assigns and sequences diagnosis and procedure codes for all patient encounters utilizing applicable ICD-9, CPT-4 and HCPC coding systems. Keeps current with changes in statutory regulations to ensure coding compliance. Assists the Office Supervisor and Directors with miscellaneous office support tasks upon request. Assures confidentiality of Medical Records in accordance with hospital policy. Completes facility charges for outpatient services as assigned. Discharge Analysis Quality: Analyzes discharge records for completeness and accuracy of documentation and prepares deficiency lists for physicians by entering the needed items into the incomplete record system. a) SO/OPS Discharge Analysis Quality, b) Inpatient Discharge Analysis Quality. Educates, and communicates with Providers and Hospital workforce in the area of clinical documentation, DRG assignment and coding guidelines. Inpatient Coding and DRG Quality: Accurately selects appropriate diagnosis and procedure codes for all inpatient medical records in accordance with established guidelines, remaining under a 5% error ratio. Appropriately assigns correct DRG. Provides technical assistance for authorized data retrieval from the coding database. Serves as a resource for others with questions, inquiries concerning coding applications, compliance, and data interpretation. All other duties as assigned. Additional Requirements Preferred: Experience - 3+ years of Hospital Coding Experience Education - Associates degree in Health Information Management Certifications - Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) Physical Requirements: Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Job Category Revenue Cycle Job Family Health Information Management Shift Employee Type Regular 10 Monument Health Rapid City Hospital, Inc. Make a difference. Every day. Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Current Employees: If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage. Primary Location Rapid City, SD USA Department RCH Health Information Management Scheduled Weekly Hours 40 Starting Pay Rate Range $24.19 - $30.24 (Determined by the knowledge, skills, and experience of the applicant.) Job Summary Accurately and efficiently codes and abstracts comprehensive acute care inpatient, rehabilitation inpatient, outpatient surgery, swing bed, long term care, ancillary services and short stay observation patient records according to official coding guidelines for accurate coding and benchmarks for productivity. Evaluates and assigns accurate DRG, PAI, and APC assignment. The position responsibilities include 95% comprehensive assignment of inpatient ICD 9 diagnosis, DRG, Ambulatory Patient Classification assignments, comprehensive review of the entire inpatient, observation, or ambulatory record, accurate documentation capture for accurate and compliant code and procedure assignment. Responsibility includes occasional backup for diagnostic outpatients. Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include: *Supportive work culture *Medical, Vision and Dental Coverage *Retirement Plans, Health Savings Account, and Flexible Spending Account *Instant pay is available for qualifying positions *Paid Time Off Accrual Bank *Opportunities for growth and advancement *Tuition assistance/reimbursement *Excellent pay differentials on qualifying positions *Flexible scheduling Job Description Essential Functions: Analyzes, audits, and abstracts clinical record information for all patient encounters according to the established parameters. Ensures the accuracy, completeness, and propriety of medical information both text based and encoded in all patient care settings. Assists with keeping discharged unbilled accounts within limits as specified by CEO. Assigns and sequences diagnosis and procedure codes for all patient encounters utilizing applicable ICD-9, CPT-4 and HCPC coding systems. Keeps current with changes in statutory regulations to ensure coding compliance. Assists the Office Supervisor and Directors with miscellaneous office support tasks upon request. Assures confidentiality of Medical Records in accordance with hospital policy. Completes facility charges for outpatient services as assigned. Discharge Analysis Quality: Analyzes discharge records for completeness and accuracy of documentation and prepares deficiency lists for physicians by entering the needed items into the incomplete record system. a) SO/OPS Discharge Analysis Quality, b) Inpatient Discharge Analysis Quality. Educates, and communicates with Providers and Hospital workforce in the area of clinical documentation, DRG assignment and coding guidelines. Inpatient Coding and DRG Quality: Accurately selects appropriate diagnosis and procedure codes for all inpatient medical records in accordance with established guidelines, remaining under a 5% error ratio. Appropriately assigns correct DRG. Provides technical assistance for authorized data retrieval from the coding database. Serves as a resource for others with questions, inquiries concerning coding applications, compliance, and data interpretation. All other duties as assigned. Additional Requirements Preferred: Experience - 3+ years of Hospital Coding Experience Education - Associates degree in Health Information Management Certifications - Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) Physical Requirements: Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Job Category Revenue Cycle Job Family Health Information Management Shift Employee Type Regular 10 Monument Health Rapid City Hospital, Inc. Make a difference. Every day. Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Part-time Description ESSENTIAL DUTIES AND RESPONSIBILITIES Review and analyze clinical documentation to assign appropriate ICD-10, CPT, and HCPCS codes. Ensure coding accuracy and compliance with federal regulations, payer requirements, and clinic policies. Collaborate with providers, nurses, and clinical staff to clarify documentation when needed. Abstract relevant information from patient records to support accurate coding and billing. Enter and verify codes in the electronic health record (EHR) or billing software system. Identify and resolve coding errors, rejections, and denials in partnership with the billing team. Maintain current knowledge of coding guidelines, payer rules, and compliance standards (including HIPAA). Participate in regular audits and quality assurance activities to ensure documentation supports billed services. Assist with staff education and training related to coding and documentation best practices. Protect patient confidentiality and maintain the security of all health information. Requirements SKILLS & ABILITIES Excellent verbal and written communication skills with patients and staff. Strong attention to detail and ability to maintain accurate records. Knowledge of medical terminology, anatomy, and physiology. Proficiency with computers and electronic health records. Ability to work independently and as part of a team. QUALIFICATIONS Education: High school diploma required; Associate degree or diploma in Medical Coding preferred. Certification: Certified Professional Coder (CPC) or equivalent required within 1 year of hire . Experience: Minimum of 2 years of current medical coding experience preferred. Other: Familiarity with ICD-10, CPT, and HCPCS coding systems and payer guideline

1.0 FTE - Day Shift Starting Pay- $24.09 - $30.11 Work must be performed from within the State of Minnesota At Olmsted Medical Center, we value our employees and are committed to providing a comprehensive and competitive benefits package. To keep up with the evolving trends, Olmsted Medical Center offers the following for employees who are employed at a 0.5 FTE or higher. * Medical Insurance * Paid Time Off * Dental Insurance * Vision Insurance * Basic Life Insurance * Tuition Reimbursement * Employer Paid Short-Term Disability and Long-Term Disability * Adoption Assistance Plan Qualifications: * Associate degree or equivalent experience required * Knowledge of medical terminology and anatomy required * ICD-10, ICD-10-PCS, CPT, HCPCS, APC, and DRG coding experience required * RHIT or CPC certification or accreditation required * One year coding experience Job Responsibilities: * Assigns ICD-10, ICD-10-PCS, HCPCS, modifiers, and CPT codes. * Utilizes the DRG grouper, APC grouper, and other computer-based programs to ensure optimal reimbursement. * Assists in the data collection for concurrent chart reviews on admissions. * Remains current on insurance payer guidelines by reviewing monthly news bulletins. * Monitors the timeliness of documentation to identify any areas that need to be evaluated. * Assists in monitoring pre-claim edit data to ensure correct claims are billed. * Manages assigned work list for account denials and insurance inquiries. * Works on various departmental reports as assigned. * Attends available training to remain current with coding guidelines as they change. * Other duties as assigned.

The Health Office Paraprofessional supports the daily operations of the school health office and helps ensure the well-being, safety, and care of students. Under the direction of the LPN/LSN, this position assists with assessing student health needs, documenting visits, communicating with families, and providing general health services. The role also supports building-wide health and wellness efforts, assists with routine office tasks, and helps maintain accurate health records. In addition, the Health Office Paraprofessional may provide limited backup to nursing staff by administering first aid, dispensing prescribed medications, and responding to health emergencies. This position plays an essential role in creating a welcoming, responsive, and efficient health office for students, families, and staff. * Provides supervision to students with health and medical needs in assigned building. a) Supports LPN or LSN in evaluating student symptoms and determine proper course of action. b) Documents all student information, visits, and determinations using the associated student information system. c) Contacts student's parents/guardians as needed to relay information and request student transportation home. d) Answers and addresses concerns of parents with respect to health and medical needs. * Provides building support with duties related health and wellness. a) Provides health educational services within the building in the areas of hand washing, hygiene or others areas. a) Assists nursing staff by providing them support in accomplishing their job duties in times of peak demand or to meet work priorities. b) Assists in answering health office phone(s)/lines and routing calls to the appropriate person(s) after determining the nature of the call. c) Screens visitors/students coming into the office providing assistance with routine questions or directing visitors to appropriate parties. d) Assisting students coming into the health office with routine questions or other related duties to assist health office visitors. e) Typing routine correspondence, letters, forms, or materials provided by nursing staff in draft form. f) Files forms, correspondence, letters, and/or documents in accordance with established health office routines. g) Enters data into log books and records either hard copy of data files/records in District computer files (Campus)/health records a) Copies and duplicates materials requested. b) Works with nursing staff in maintaining health office data, including creating and sending necessary information to teachers and families; tracks responses; maintains forms, communicates as needed with students/parents. * May support in various nursing tasks and/or serve as backup to the building nurse in a limited capacity. a) Provides emergency 1st aid and medical care. b) Administers medication, as prescribed. c) Documents all health service visits and emergencies. * Performs other related duties within the scope of the position as assigned or requested to contribute to the efficient operation of Willmar Public Schools.

Full-time Description CODER: Reviews medical documentation from physicians and other healthcare providers. Assigns diagnostic and procedure codes for inpatient, outpatient, symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards. Provides accurate and timely ICD-10 CM and CPT procedure coding, and may utilize HCPCS, in accordance with official coding standards, regulatory coding compliance guidelines and company procedures. Review and update medical record documentation to accurately reflect healthcare coding and substantiate appropriate service reimbursement. Working with other departments and organizations to assure availability and quality of information used in statistical reporting for local facility management and helping identify overall healthcare trends, issues and concerns. Follow up of coding denials and regular maintenance of coding work queues. INSURANCE APPLICATION SUPPORT: Updates Winner Regional patient billing system with current demographic and insurance information for hospital and clinic charges. The insurance application support is responsible for investigating and confirming valid insurance data if unable to determine from the source document. The insurance application support may also be responsible for preparing charge tickets for data entry. The insurance application support may also perform follow-up with payers where claims have been filed. Performs re filing of claims when necessary. MEDICAL BILLER: Manages patient's accounts following guidelines for disposition of unpaid services, i.e. intervening with third party payers. Answers incoming calls from patients and third-party payers requesting information on their account Submits and follows up on insurance claims Attributes to include: Knowledge of CAH & RHC coding guidelines, patient account policies, insurance participation/payer guidelines, and individual clinic practices/standards of operation. Knowledge of insurance processing functions. Skills in verbal and written communication. Ability to work effectively with patients, physicians, managers, directors, staff and the public. Ability to work with the compliance department to achieve coding goals. Knowledge of insurance procedures and practices Knowledge of computerized system. Skill in operating office equipment Ability to deal courteously with patients, outside organizations, co-workers on the telephone and in person. Ability to react calmly and effectively in conflict situations. Ability to speak clearly and concisely. Ability to establish priorities, coordinate work activities and meet deadlines. Bimonthly provider chart audits and provider feedback. Knowledge of medical billing practices, insurance procedures and practices. Tact and courtesy in dealing with all customers. Able to work with limited supervision. Must have good knowledge of claim processing. Must be able to pay attention to details. Must be able to understand all insurance updates. Must be able to concentrate on work tasks amidst distractions. Must exert self-control in difficult situations. Consistently projects a positive image of the facility. Requirements Education/Experience: High School diploma or GED is required. One year experience in data processing. Prefer one year of patient service experience in a health care organization, preferably in a medical office setting Knowledge of medical terminology and anatomy Experience in registration and insurance verification is preferred. Experience in medical billing is preferred. Computer skills are essential. Experience in Epic with both HB and PB a plus. Required Credentials (Licensure, Certification, or Registration): Certified Professional Coder CPC) Certification Employment Variables: Work is performed in an office environment. Work hours vary according to the workload and supervisory scheduling. Initial Tuberculosis (TB) test and drug screening are required by Winner Regional Health. Rubella titer will also be drawn upon hire and immunization is required if no past exposure or indication of immunization. Required to wear name tag provided by WRH and to follow the dress code of WRH. Job Knowledge and Skills: Ability to read, write, speak and understand the English language and follow oral or written instruction. Excellent oral and written communication skills, work with customers and co-workers in a professional manner. Direct Supervisor: Director of Revenue Cycle PART II: CODE OF CONDUCT Honesty - We will do the right thing at all times, even if it is difficult, maintaining strong, ethical practices. We protect the confidentiality of others, including patients, staff and the facility as a whole. We will take responsibility for our actions. Expertise - We will demonstrate superior judgment, training and skill, at all times, demonstrating professionalism while doing so. We will perform all aspects of our job to the best of our ability, utilizing all resources and tools available. Approachability - We will be non-judgmental, friendly, and open and willing to listen to everyone we come into contact with while performing our duties. We are humble and learn from others. Respect - We will be understanding and sensitive to others' feelings; caring and responding in a manner that sets them at ease, keeping the situation in perspective without minimizing others' feelings or reactions. We will listen to others with full attention in a sincere, civil fashion, being careful not to be judgmental of the speaker. We maintain composure when facing conflict and avoid jumping to conclusions and defaming another's name. Teamwork - We willingly work together with a common approach, trusting and supporting members of our organization, using our skills and resources, sharing information to achieve a common aim. PART III: ESSENTIAL FUNCTIONS Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Following are the essential functions of the job, along with the corresponding performance standards. Function Explanation Coding Duties (CPC) Code physician professional services accurately and in a timely manner. Maintain and routinely work queues and follow up on coding denials. Verifies accuracy of patient information in the database as needed. Demonstrates ability to review patient related correspondence, literature and reports. Promptly investigates problems and demonstrates ability to resolve routine problems and appropriately refers complex problems as appropriate to the Site Supervisor. Participates with other staff to seek account resolution Updates patient account database. Provides CPT and ICD-10 coding on clinic charges. Attend required meetings and participate in committees as requested. Works with physician/provider to resolve coding issues. Ensures that provider education and updates are provided at opportune times Handles coding/billing calls and questions from patients and other staff to seek account resolution. Submit State lab bills, lab charges (Chlamydia/GC). Sanford Pathology Bill Medicaid referral cards Answers billing questions Customer Service Introduces self immediately when working with customers. Help create a positive experience when interacting with patients, visitors, and coworkers and demonstrates effective listening skills. Meets internal and external customer requests by either completing the task or seeking the appropriate assistance of others. Demonstrates understanding of Performance Improvement principles and activities by participating and/or supporting department/organizational performance improvement initiatives. Demonstrates compliance with the Code of Conduct through actions, behaviors, and words. Greets every employee and customer with a warm and friendly smile. Computerized Insurance Records Accurately updates computer system to reflect correct patient demographics and insurance regarding hospital and clinic charges Completes demographic updates in a timely manner and prioritizes duties based on date of service and revenue amounts. Reviews updated accounts receivable to ensure that all charges have been filed to correct insurance carrier. Make changes/corrections as needed. Corrects patient or insurance carrier as needed to receive current and correct demographic and insurance information. Communicates need for assistance and pertinent insurance updates to customer service staff. Meet or exceed performance standards set by the department. Ensures correct reparation of charge tickets has been completed for data entry, including hash totals when requested Professional Development Identifies own learning needs and goals and develops a plan to meet them Accepts coding assignments as able to enhance learning Participate in learning opportunities Additional Duties Identifies accounts that have had no insurance response and phone payer as a follow up. Processes refunds to patients and insurance companies Enters accurate notes on patient accounts. Attends required meetings and participates on committees as requested. Respects at all times the confidentiality of patient and uses complete discretion when discussing patient Other tasks as assigned. PART IV: COMPLIANCE Compliance Must comply with the Corporate Compliance Policy and all laws, rules, regulations and standards of conduct relating to the position. The employee has a duty to report any suspected violations of the law or the standards of conduct to the Compliance Officer or the Director of Revenue Cycle. PART V: PHYSICAL AND MENTAL REQUIREMENTS General Activity In a regular workday, employee may: Sit 2-3 Hours at a time; up to 8-10 Hours during the day Stand 0-2 Hours at a time; up to 0-2 Hours during the day Walk .5 Hours at a time; up to 1 Hours during the day Motion Employee is required: (In terms of a regular workday, "Occasionally" equals 1% to 33%, "Frequently" 34% to 66%, "Continuously", greater than 67%.) Bend/Stoop Occasionally Kneel, Duration 30 sec Occasionally Squat Occasionally Balance Occasionally Crawl, Distance Occasionally Twist Occasionally Climb, Height Occasionally Keyboarding/Mousing Frequently Reach above shoulder level Occasionally Physical Demand Employee's job requires he/she carry and lift loads from the floor, from 12 inches from the floor, to shoulder height and overhead. Employee's job requires a pushing/pulling force to move a load (not the weight of the load). Physical Demand Classification: Carrying/lifting weight and pushing/pulling force: Sedentary Occasionally 10 lbs. Frequently Negligible Constantly Negligible Sensory Requirements: Yes/No Explanation (if Yes) Speech - Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly. Yes Ability to exchange information with staff and patients on the phone. Responds to patient's concerns and questions. Extensive interactions with customers, co-workers and supervisors in person. Vision (VDT) - Are there specific vision requirements for the job? Yes Must be able to read numbers and names. Must be able to distinguish colors and view a computer screen Must be able to edit and proof work and to discern small print and a variety of handwriting. Must be able to operate office equipment. Hearing - Ability to receive detailed information through oral communications, and to make fine discriminations in sound; i.e., making fine adjustments on machine parts, using a telephone, taking blood pressures. Yes Vital for communications with other clinic staff and patients directly or via telephone Environmental Factors Yes/No Explanation (if Yes) Working on unprotected heights No Being around moving machinery No Exposure to marked changes in temperature and humidity No Driving automotive equipment Yes To deliver papers for signatures Wearing personal protective equipment No Exposure to atmospheric conditions (i.e. fumes, dust, odors, mists, gases, or poor ventilation) No Exposure to extreme noise or vibration No Exposure to blood, body fluids and waste No Exposure to radiation No Exposure to other hazards (i.e. mechanical, electrical, burns, or explosives) No Emotional/Psychological Factors Yes/No Explanation (if Yes) Stress: Exposed to stressful situations Yes Must be able to effectively deal with concerns of upset patients or other clinic staff. On occasion when information is needed and not available. Working with a variety of coworkers at one lime. High accountability. Must be able to establish priorities Works in an environment of frequent interruptions. May be monitored for productivity and quality. Concentration: Must be able to concentrate on work tasks amidst distractions. Yes Work must be done accurately. Constant interruptions in a multi-task clerical environment. Must exert self-control. Yes Must be able to display control and confidence under stress or amidst distractions. PART VI: JOB RELATIONSHIPS Supervises 1 No supervisory responsibilities 0 Supervisory responsibility # Direct Reports: depends upon shift # Indirect Reports: Age of Patient Populations Served 0 Neonates: 1-30 days 0 Infant: 30 days - 1 yr 0 Children: 1- 12 yrs 0 Adolescents: 13- 18 yrs 0 Adults: 19- 70 yrs 0 Geriatrics: 70+ yrs 1 All 0 Not applicable Internal Contacts 0 Patients 1 Providers: (i.e. Physicians, Therapists, Social Workers) 1 Staff: (i.e. clinical and administrative support staff) 0 Volunteers 0 Others: External Contacts 0 Patients 0 Families/Significant Others 1 Providers 1 Vendors 1 Community and Health Agencies 1 Regulatory agencies 0 Other: Job Applicants